Organization
INSIGHT-PREMIER HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN G DRAZBA (SENIOR V.P. & CHIEF ACCOUNTING OFCR)
(949) 282-6000
Entity
Organization
Contact information
Practice address
329 MAINE ST, BRUNSWICK, ME 04011-3310
(800) 734-4132
(800) 883-6348
Mailing address
PO BOX 414025, BOSTON, MA 02241-4025
(949) 282-6000
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133960000
—
ME
01
—
470001124
RAILROAD MEDICARE
ME
Enumeration date
05/10/2006
Last updated
03/01/2022
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